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NPI Code Detail

MEDICARE: LYNN WALDMAN KAUFMAN

MEDICARE: LYNN WALDMAN KAUFMAN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1174400000XSpecialist1414KS

General Provider Information

NPI Number : 1205939972
Entity Type Code : Individual
Provider Name (Legal Business Name) : LYNN WALDMAN KAUFMAN
Provider Business Mailing Address
First Line : 21350 W 153RD ST
Second Line :
City : OLATHE
State : KS
Zip : 66061-5413
Country : US
Telephone Number : 913-322-4990
Fax Number : 913-322-4991
Provider Business Practice Location Address
First Line : 21350 W 153RD ST
Second Line :
City : OLATHE
State : KS
Zip : 66061-5413
Country : US
Telephone Number : 913-322-4990
Fax Number : 913-322-4991
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/07/2006
Last Update Date : 07/08/2007

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Directions to “ LYNN WALDMAN KAUFMAN ” Practice Location

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